Prep U: Chapter 23

Which clent would be at greatest risk for injury to the skin and mucous membranes?

A nurse is providing oral care to a client with dentures. What action would the nurse do first?

Upon review of the client's orders, the nurse notes that the client was recently started on an anticoagulant. What is an appropriate consideration when assisting the client with morning hygiene?

A male client is experiencing weakness and is unable to shave himself. When assisting this client with shaving, which of the following would be most important?

A 55-year-old client has just undergone surgery for a knee replacement. He asks the nurse if he can shave because his face is itching from the stubble. What information is a priority for the nurse to verify prior to shaving the client?

A school nurse is assessing children in the third grade for pediculosis capitis. What assessments should be made?

Which group of individuals is most likely to show increasing concern regarding their personal appearance and adopt new hygiene measures, such as more frequent showers?

A nurse is making a bed occupied by a patient. Which of the following is a recommended step for this procedure?

A student has been assigned to provide hygiene care to four clients. Which one would require special consideration for perineal care?

A nurse is caring for a client with a fractured arm. As part of hair care, what should the nurse do to increase circulation and distribution of sebum in the client's hair?

When providing oral care, which of the following does the nurse recognize as the most important component of the oral care process?

A client who has started using contact lenses visits a health care facility with an eye infection. The nurse observes that the client also has an eye abrasion. Which of the following could be the possible reason for the eye infection?

A kindergarten student is sent to the school nurse because she has been vigorously scratching her scalp for a few hours. The nurse's first action will be to assess the child for the presence of which of the following?

Older, continent patients who are hospitalized should receive a full bed bath with soap and water every day.

The nurse is making a home visit to an older adult client recently discharged from the acute care facility after surgery. The nurse is observing the client's ability for self-care and bathing while the client is in the bathroom. The client states, "My this hot water seems really hot." The nurse instructs the client and spouse to check the water heater thermostat to ensure that the temperature is below which temperature?

An older adult resident of a long-term care facility has recurring problems with dry skin. Which of the following strategies should the nursing staff utilize in order to help meet the resident's hygiene needs while preventing skin dryness?

A client is being discharged today from the hospital. The nurse delegates morning care to the unlicensed assistive personnel (UAP). The assessment finds that the client is able to stand and ambulate independently without weakness or dizziness. The nurse will delegate what type of care to be provided based on the assessment findings?

A student has been assigned to provide morning care to a client. The plan of care includes the information that the client requires partial care. What will the student do?

A nurse is brushing the hair of a client admitted to the health care facility following a fracture in the hand. The nurse implements this action based on the understanding that brushing the hair achieves which of the following?

The mother of a child 2 years of age tells the nurse she always cleans the child's ears with a hairpin. What would the nurse tell the mother?

A nurse is examining an adult client with inflammation of the gums. The nurse observes bleeding gums. How should the nurse record the findings in the client's medical record?

A nurse is assessing the client's ability to perform ear care. Which statement by the client requires further teaching by the nurse?

A nurse is shaving the facial hair of a bed-ridden patient. Which of the following is a recommended guideline for this procedure?

An Indian client is admitted to a facility for treatment of pneumonia. Since admission, she has been unwilling to participate in care offered by the nursing staff but is too weak to provide her own care. The nurse is planning care for this client with a diagnosis of bathing/hygiene: self-care deficit. What would the priority nursing intervention be?

A nurse is caring for a client with a puncture wound in the proliferation phase of the wound repair process. Which of the following statements describes this phase of the wound repair process?

Which of the following health problems is most clearly suggestive of a history of inadequate dental care?

The nurse is caring for a female client who is unconscious. You should pay special attention to cleaning which of the following areas of the body?

A patient tells a nurse that he always uses boric acid solution to wash out his eyes. What would the nurse teach the patient?

A client is able to transfer out of bed to a chair but is unable to walk to the bathroom. Which of the following would be most appropriate for the nurse to use when assisting this client with elimination?

Which client is most likely to require hospitalization related to problems associated with the feet?

A nurse is assessing a client during a health care camp. The nurse observes that the client has poor hygiene and an itchy, infected scalp. Which of the following should the nurse ask the client to do?

A nurse working in a clinic for older adults is providing care to a client receiving treatment for xerostomia. The nurse interprets this condition as which of the following?

The nurse is preparing to perform perineal care on an uncircumcised adult male client who was incontinent of stool. The client's entire perineal area is heavily soiled. Which of the following techniques for cleaning the penis is correct?

What physical changes during adolescence predispose the adolescent to body odor and acne?

A nurse is asked to wash the hair of a patient who has a spinal cord injury. Which of the following is a guideline that the nurse should follow when performing this procedure?

Which of the following is a correct guideline to follow when providing a bed bath for a client?

Which client would be most at risk for alterations in oral health?

A nurse is teaching a patient how to care for her dentures. Which of the following is a recommended teaching guideline?

Bathing should be performed in an orderly, head-to-toe manner.

A nurse is washing a patient's hair using a shampoo cap. Which of the following is an accurate step in this procedure?

For which of the following patients would the use of a flannelette blanket as a bottom sheet be recommended?

An older adult client has been admitted to the hospital with acute delirium and is temporarily unable to take care of her own dentures. How should the nurse care for the client's dentures?

While performing a physical examination of a client who is in a coma, the nurse finds that the client has dandruff. Which of the following would be most appropriate for the nurse to apply to the client's hair to manage dandruff?

A middle-aged client who wears glasses and has a slight hearing problem needs a hearing aid that is small and not too expensive. Which of the following hearing aid devices is best suited for the client?

A nurse is providing nail care to clients admitted to a health care facility. The nurse should know that which of the following clients is most susceptible to nail problems?

A nurse is preparing to provide foot care to a client who has decreased mobility. Which of the following techniques should the nurse employ when providing this care?

An 80-year-old woman tells the nurse that she just itches all the time and her skin seems very dry. How do these symptoms relate to aging skin?

While conducting an oral assessment, a nurse notices the client's gums are red and swollen, some teeth are loose, and blood and pus can be expressed when the gums are palpated. What condition do these symptoms indicate?

A nurse is caring for a female client with diarrhea. What instruction should the nurse give the client with regard to perineal hygiene?

When shaving a male patient's face, pull the skin taut and use short, upward strokes.

Which of the following statements accurately describes a recommended step when making an unoccupied bed?

In order to maintain a healthy and hygienic integumentary system, a nurse is clipping the overgrown nails of an older adult client. Which other part should the nurse check to maintain the hygiene of the client's integumentary system?

Which is one of the most important benefits of a nurse helping with bathing?

A nurse assists a patient to clean his dentures. Which of the following is an accurate step in this process?

A home care nurse visits a client for follow up. During the visit, the client asks the nurse to explain the process for cleaning the soft contact lenses that he got recently. Which of the following would the nurse include when teaching the client about contact lens care?

A nurse is planning the discharge for an older adult client with Parkinson's disease. Which of the following activities would the nurse observe to assess the client's fine motor skills?

A nurse is discussing care of her four clients with an unlicensed assistive personnel (UAP). The UAP is planning morning care and hygiene for the clients. Which client should the nurse instruct the UAP to offer hygiene measures to first?

A nurse is caring for a client with hemorrhoids. The physician has ordered sitz baths for the client twice a day. Which of the following would the nurse do when giving a sitz bath?